1.Easy
In the fire safety acronym RACE, what does the C stand for?
- ACall the family of each patient on the unit
- BClear the corridor of all equipment first
- CCool the room by turning on the air conditioning
- DContain the fire by closing doors and windows
2.Easy
What is an iatrogenic infection?
- AAn infection caught from a family pet at home
- BAn infection that is present from birth
- CAn infection caused by a treatment, test or procedure
- DAn infection that comes from the patient’s own skin flora
3.Easy
During a hospital fire evacuation, where are patients usually moved first?
- AHorizontally, through fire doors to a safe area on the same floor
- BUpward, to the roof of the building where helicopters can reach them
- CStraight out of the building, whatever their condition
- DDownward, using the elevators
4.Medium
Sterile saline is spilled on a sterile drape that lies on a non-sterile table. What does this mean?
- AOnly the wet part is contaminated, so items can be moved to the dry part
- BThe field is contaminated, because moisture can carry organisms through the drape
- CThe field stays sterile, because saline is sterile
- DThe field becomes sterile again when it dries
5.Medium
A parent calls because a toddler has swallowed some household cleaner. The child is awake and breathing normally. What should the nurse advise first?
- AContact the local poison advice service now for specific advice
- BMake the child vomit, using a finger at the back of the throat
- CWait to see whether any symptoms develop over the next day
- DGive syrup of ipecac from the medicine cabinet
6.Medium
Which nursing care reduces the risk of ventilator-associated pneumonia?
- ALeaving secretions in the mouth to protect the airway
- BRegular oral care to reduce bacteria in the mouth
- CChanging the ventilator circuit every few hours
- DLying the patient flat for most of the day
7.Hard
A nurse teaches parents about using an infant car seat. Which statement shows a need for further teaching?
- A“We will use the car seat for every trip, even short ones.”
- B“We will put the rear-facing seat in the front so we can see the baby.”
- C“We will make sure the harness straps are snug against the baby’s chest.”
- D“We will install the seat in the back seat, facing the rear.”
8.Hard
A nurse teaches a patient who has had a splenectomy. Which statement shows a need for further teaching?
- A“I will get medical help quickly if I get a high temperature.”
- B“Now that my spleen is out, a fever is nothing to worry about.”
- C“I will keep my vaccinations up to date.”
- D“I will tell all of my health care providers that I have no spleen.”
Answer key
- 1. D · Contain the fire by closing doors and windows
- 2. C · An infection caused by a treatment, test or procedure
- 3. A · Horizontally, through fire doors to a safe area on the same floor
- 4. B · The field is contaminated, because moisture can carry organisms through the drape
- 5. A · Contact the local poison advice service now for specific advice
- 6. B · Regular oral care to reduce bacteria in the mouth
- 7. B · “We will put the rear-facing seat in the front so we can see the baby.”
- 8. B · “Now that my spleen is out, a fever is nothing to worry about.”
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